# NORTH IDAHO NEUROTHERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487310702
- **Authorized official:** DR. LINDA LARSON PH D, LMFT (OWNER)
- **Authorized official phone:** (208) 255-6057

## Contact information

- **Practice address:** 102 S EUCLID AVE STE 312, SANDPOINT, ID 83864-4938
- **Practice address phone:** (208) 255-6057
- **Mailing address:** 217 CEDAR ST \# 177, SANDPOINT, ID 83864-1410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/10/2021
- **Last updated:** 05/27/2025
